脑卒中后神经刺激。
Neurostimulation After Stroke.
机构信息
MetroHealth Center for Rehabilitation Research, 4229 Pearl Dr, Cleveland, OH 44109, USA; APT Center, 10701 East Boulevard, Cleveland, OH 44106, USA.
MetroHealth Center for Rehabilitation Research, 4229 Pearl Dr, Cleveland, OH 44109, USA; Department of Physical Medicine and Rehabilitation, Case Western Reserve University, 9501 Euclid Avenue, Cleveland, OH 44106, USA.
出版信息
Phys Med Rehabil Clin N Am. 2024 May;35(2):369-382. doi: 10.1016/j.pmr.2023.06.008. Epub 2023 Aug 21.
Abstract
Neural stimulation technology aids stroke survivors in regaining lost motor functions. This article explores its applications in upper and lower limb stroke rehabilitation. The authors review various methods to target the corticomotor system, including transcranial direct current stimulation, repetitive transcranial magnetic stimulation, and vagus nerve stimulation. In addition, the authors review the use of peripheral neuromuscular electrical stimulation for therapeutic and assistive purposes, including transcutaneous electrical nerve stimulation, neuromuscular electrical stimulation, and functional electrical stimulation. For each, the authors examine the potential benefits, limitations, safety considerations, and FDA status.
摘要
神经刺激技术帮助中风幸存者恢复失去的运动功能。本文探讨了其在上肢和下肢中风康复中的应用。作者回顾了靶向皮质运动系统的各种方法，包括经颅直流电刺激、重复经颅磁刺激和迷走神经刺激。此外，作者还回顾了外周神经肌肉电刺激在治疗和辅助方面的应用，包括经皮电神经刺激、神经肌肉电刺激和功能性电刺激。对于每种方法，作者都检查了其潜在的益处、局限性、安全性考虑因素和 FDA 状态。
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本文引用的文献
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Stimulation of the Premotor Cortex Enhances Interhemispheric Functional Connectivity in Association with Upper Limb Motor Recovery in Moderate-to-Severe Chronic Stroke.刺激运动前皮质可增强中重度慢性脑卒中患者上肢运动功能恢复的大脑两半球间功能连接。
Brain Connect. 2023 Oct;13(8):453-463. doi: 10.1089/brain.2022.0064. Epub 2023 Apr 10.
2
The prospects for poststroke neural repair with vagal nerve stimulation.迷走神经刺激用于中风后神经修复的前景
J Neurol Neurosurg Psychiatry. 2023 Apr;94(4):255-256. doi: 10.1136/jnnp-2022-330831. Epub 2023 Jan 24.
3
Vagus nerve stimulation paired with rehabilitation for motor function, mental health and activities of daily living after stroke: a systematic review and meta-analysis.迷走神经刺激联合康复治疗对卒中后运动功能、心理健康及日常生活活动能力的影响：一项系统评价与Meta分析
J Neurol Neurosurg Psychiatry. 2023 Apr;94(4):257-266. doi: 10.1136/jnnp-2022-329275. Epub 2022 Dec 5.
4
Efficacy and Safety of Vagus Nerve Stimulation on Upper Limb Motor Recovery After Stroke. A Systematic Review and Meta-Analysis.迷走神经刺激对卒中后上肢运动恢复的疗效与安全性：一项系统评价和Meta分析
Front Neurol. 2022 Jul 1;13:889953. doi: 10.3389/fneur.2022.889953. eCollection 2022.
5
Upper Extremity Contralaterally Controlled Functional Electrical Stimulation Versus Neuromuscular Electrical Stimulation in Post-Stroke Individuals: A Meta-Analysis of Randomized Controlled Trials.上肢对侧控制功能性电刺激与神经肌肉电刺激治疗脑卒中后患者的随机对照试验的Meta 分析
Neurorehabil Neural Repair. 2022 Jul;36(7):472-482. doi: 10.1177/15459683221092647. Epub 2022 May 16.
6
A randomized sham-controlled trial on the effects of dual-tDCS "during" physical therapy on lower limb performance in sub-acute stroke and a comparison to the previous study using a "before" stimulation protocol.一项随机假对照试验，研究亚急性中风患者在物理治疗“期间”进行双部位经颅直流电刺激对下肢功能的影响，并与之前使用“治疗前”刺激方案的研究进行比较。
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